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Provider Information for 1497015515



DR. MARIA E AMADOR D.D.S

Gender: FEMALE

Individual NPI: 1497015515

Calendar Last Updated: 2016-06-01

Details

Name Value
NPI 1497015515
Enumeration Date 2012-05-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1034 BREEZE HILL RD APT 13B
ASHEBORO, NC 27203-7755
United States

Phone: 407-508-8211 | Fax:
View Map External Link
Primary Practice Address 4239 HOLLAND RD
VIRGINIA BEACH, VA 23452-1941
United States

Phone: 576-769-8911 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice VA 0401414916
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location